Indiana
Professional Licensing Agency
Jeraldine C. Baumgartner
Controlled Substance Registration - Physician
License number
01013339B
Date granted
04/30/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PO BOX 10986, FORT WAYNE IN 46855
indianalicensing.org
ID 5853609
LAST UPDATED 2024-04-02 08:24:06 UTC
LAST UPDATED 2024-04-02 08:24:06 UTC
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